Kissilenko, Anri Aronovitch

Kissilenko, Anri Aronovitch is an sole proprietor health care provider with primary practice located at 208 Valley Rd , New Canaan CT 06840-3812. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Kissilenko, Anri Aronovitch can be contacted via phone (203) 801-2235.

Contact Information

Primary practice address
208 Valley Rd New Canaan CT 06840-3812
Phone: (203) 801-2235
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 204449 New York
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 036852 Connecticut
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X 204449 New York
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X 036852 Connecticut

Profile Details

NPI number 1669569216
LBN Legal business name Kissilenko, Anri Aronovitch
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 6th, 2006
Last updated Sep 7th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669569216 NPPES
Georgia Other 260041014 RAILROAD MEDICARE
Georgia Other 618725 RAILROAD MEDICARE

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